| NPI | 1043749138 |
|---|---|
| Former Name | DOMINIQUE DEBETAZ MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14411) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-02-01 |